Migraines can be some of the worst pain out there. Tylenol just doesn't cut it after a while. Ask your doctor about getting Sumatriptan. (Maxalt is great too but my insurance won't pay for it.). Sometimes it's all I can do to just ball up in the fetal position and just sit with the pain. It's better when you can catch them early. Like tonight as an example- I had the pain at the base of my skull that turned into throbbing. Not as bad as when I get in the fetal position rocking back and forth- thank goodness. I hope your doctor can prescribe something and you don't have to go to the ER. (They give you a lot of Benadryl there for migraines oddly enough.). There's a shot that I've gotten in the Drs office that you can get if your migraine has lasted days and it works well. Within minutes, the pain is gone. What helps is being in the dark and quiet.